Change and the NHS are synonymous; it is inevitable that new ways of working are explored to ensure an effective service. This article explores the possibility of using nonmedically trained anaesthetists in the operating theatre. It examines a current pilot being undertaken by the NHS Changing Workforce Programme (DoH 2002a) and discusses how much impact this is likely to have in theatre.

Halothane concentrations of 2 p.p.m. have been found in the breast milk of a lactating, practising anaesthetist. This concentration was consistent with the operating theatre environment. The authors fell that, in spite of the limited scope of the study, this is an additional reason for the elimination of waste anaesthetic agents from the operating theatre.

Downloaded: 29 May 2012 IP address: 148.88.176.155 strates how the French language manuals of the period were aimed primarily at English merchants obliged to travel abroad to trade. Through their presentation of language in situations, the manuals provide an admirable guide to contemporary commercial customs. The bulk of the book, though, is taken up with a detailed examination of the bargain s...

OBJECTIVE to study paediatric surgery rates in south-western Uganda, compare them to rates in England, and determine if existing surgical facilities and workforce meet World Health Organization (WHO) standards. METHODS to obtain information on surgical facilities and workforce, we conducted a cross-sectional survey of all hospitals performing major surgery in 14 districts of south-western Uga...